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Dr. Sujitha Sree Ketineni, MD
Hematology & Oncology Physician in Springfield, Illinois
NPI 1285120725

Sujitha Sree Ketineni is a Hematology & Oncology Physician based in Springfield, IL and is specialized in Hematology & Oncology. Sujitha Sree Ketineni practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Sujitha Sree Ketineni is 1285120725 and holds a License No. 125071938 (Illinois).

The current practice location address for Sujitha Sree Ketineni is 315 W Carpenter St # B, Springfield, IL and can be reached out via phone at 217-545-8000 and via fax at 217-545-1141.

Location: 315 W Carpenter St # B, Springfield, IL, 62794-9678
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285120725
Provider Name
Sujitha Sree Ketineni
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
315 W Carpenter St # B, Springfield, IL, 62794-9678
Phone Number
217-545-8000
Fax Number
217-545-1141
Provider Enumeration Date
07/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
315 W Carpenter St # B
City
Springfield
State
Illinois
Zip
62702-4901
Phone Number
217-545-8000
Fax Number
217-545-1141
person
Provider Business Mailing Address Details
Address
315 W Carpenter St # B
City
Springfield
State
Illinois
Zip
62702-4901
Phone Number
217-545-8000
Fax Number
217-545-1141
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036.156940 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125071938 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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